. Gynecology : . r: The fascia along the middle line of the vaginal incision andthe mucous membrane as well are then trimmed off at either side sufficientlyto remove the overstretched and ruptured part of the fascia and secure forsupport the strong uninjured portion of the fascia lata. The freshened edges ofthe fascia lata and vaginal mucous membrane are then stitched together through-out the whole length of the vagina, thus bringing it up snugly against the base OPERATIONS FOE UTERINE MALPOSITION 709 of the bladder. The uterine end of the vaginal incision is then stitched to theuterus directl
. Gynecology : . r: The fascia along the middle line of the vaginal incision andthe mucous membrane as well are then trimmed off at either side sufficientlyto remove the overstretched and ruptured part of the fascia and secure forsupport the strong uninjured portion of the fascia lata. The freshened edges ofthe fascia lata and vaginal mucous membrane are then stitched together through-out the whole length of the vagina, thus bringing it up snugly against the base OPERATIONS FOE UTERINE MALPOSITION 709 of the bladder. The uterine end of the vaginal incision is then stitched to theuterus directly under the attachment of the bladder. For complete procidentia Goffe applies the same principle in a more radicalway: The uterus is first removed by vaginal hysterectomy (see page 728).The two broad ligaments are then stitched together across the pelvis. Uponthis newly constructed plane the bladder wall is spread out and stitched, inpractically the same manner used in the prolapse operation, in which the bladder.
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